Cure through laminate veneer applicator

ABSTRACT

An instrument to compressively place and bond a restorative covering to the surface of a tooth comprising a gripping body ( 4 ) with a gently tapered mildly angled neck ( 6 ) having thereon an applicator holder ( 8 ) with an attached compressible applicator with one or more at least one traversing photo cure apertures ( 12 ) to permit the passage of a photo curing light.

CROSS REFERENCE TO RELATED APPLICATIONS

THIS APPLICATION CLAIMS THE BENEFIT OF PROVISIONAL PATENT APPLICATIONSer. No. 60/962,567 FILED JUL. 30, 2007, BY THE PRESENT INVENTER

FEDERALLY SPONSORED RESEARCH

Not Applicable

SEQUENCE LISTING OR PROGRAM

Not Applicable

BACKGROUND

1. Field of Invention

This invention applies to the field of Dentistry to allow for thecontrolled placement and curing of a dental veneer.

2. Prior Art

To enhance the esthetic appearance of a tooth, or restore to itsanatomical original form it may be necessary to place tooth-like coveror veneer to its facial or outer surface. After the tooth is prepared,an impression of it is sent to a laboratory which fabricates the veneerand returns it to the clinician for insertion into the patient's mouth.The intended tooth's surface is then prepared to receive the veneer bybeing etched and primed. Having done this, a bonding agent is applied tothe inner surface of the veneer, which is then placed on the tooth andphoto-cured to effect the veneer's adhesion to the tooth. The placementprocess presents with a myriad of challenging steps. This is due to theveneer's innate fragility and size. Typically the clinician willmanipulate the veneer for priming and placement with his thumb and indexfinger. He then places the veneer on to the tooth's surface positioningas best he can (the veneer has been fabricated to fit in an exactposition). Wearing the required latex gloves adds more ergonomicdifficulties to an already challenging step. Slippage, mal-placement,and over expression of bonding agents, are just some of the untowardcomplications which can result from this. Once properly oriented on thetooth, the clinician then exposes the veneer to a curing light to bondit to the tooth. Ideally, it is desirable that upon placement of theveneer, adequate compression be applied as to express excess bondingresin from the periphery of the veneer prior to application ofpolymerizing light. The preferred sequence of curing is from the centerof the veneer outward. Present placement systems, because of theirstructural design, present with an opaque attachment apparatus whichprevents the transfer of the light curing medium, with a subsequent lackof cured resin in the critical central portion of the veneer. This areamust be addressed after the removal of the placement device.

U.S. Pat. No. 4,834,654 to Naussbaum, J. William, May 30, 1989 presentsa dental prosthesis applicator which has a generally opaque head coveredby an adhesive strip. This opacity does not allow for light transferenceand hence leaves the critical central portion of the veneer uncured withthe initial light application.

U.S. Pat. No. 4,953,902 to Brown, Martin A., Sep. 4, 1990 presents aveneer placement holder that has an opaque adhesively covered transfermember which precludes the transfer of a polymerizing light in thecenter of the veneer during the initial application. Furthermore thisdevice relies on a sliding plunger to release the veneer when necessary.

U.S. Pat. No. 4,993,949 to Hill, Sheryl L., Feb. 19, 1991 presents asthin rod which relies on the application of an adhesive globular mass toenvelop the veneer in an irregular, unpredictable fashion for thepurpose of transfer and placement of the intended object.

U.S. Pat. No. 5,040,981 to Oliva, William E., Aug. 20, 1991 presents asa cylindrical tip attached to an extended rod. The tip is festooned witha plurality of flexible tabs meant to engage the veneer for theplacement process. These tabs plus their attachment tip are opaque bynature and therefore interfere with the transfer of a light source andsubject the veneering process to potential complications.

U.S. Pat. No. 5,256,064 to Riihimaki, Roy E., Oct. 26, 1993 presents asan applicator with disposable double-sided disposable pads which adhereto the instrument head on one side, and engage the veneer with theother. The instrument head and the double-sided foam pad engage theveneer's central portion, and being opaque in nature serve to preventlight transference to the critical central portion of the veneer.

OBJECTS AND ADVANTAGES

Accordingly, several advantages of the present patent application ofBrian D. Viscomi for Cure Through Laminate Veneer Applicator are:

-   -   a. Ergonomically contoured to facilitate approach to tooth    -   b. Permits exact placement of veneer on tooth surface.    -   c. Allows for compression of veneer onto tooth surface in order        to express excess resin.    -   d. Allows for simultaneous light curing while maintaining the        applicator in position.    -   e. Permits light transference into the critical central portion        of the veneer to effect resin cure from the center out.    -   f. Is disposable.

Further objects and advantages are to provide an applicator which iseasy to use and is readily disposable, simple to manufacture. Stillfurther objects and advantages will become apparent from a considerationof the ensuing description and drawings.

SUMMARY

In accordance with the present invention, a cure through veneerapplicator comprises a an instrument to compressively place and bond alaminate veneer to the surface of a tooth having a gripping body withthereon a compressible body with at least one traversing aperture topermit the passage of a photo curing light during operative bonding of alaminate veneer to a tooth's surface.

DRAWINGS—FIGURES

FIGS. 1A to 1D shows various views of a preferred embodiment for thecure through laminate veneer applicator.

FIGS. 2A to 2C shows various views of a cure through laminate veneerapplicator with a cure through aperture formed into the applicatorholder's back side.

FIGS. 3A to 3D show various views of a cure through laminate veneerapplicator with double neck struts and a concave applicator surface.

FIGS. 4A to 4C show various views of a veneer applicator with a stick oncompressible applicator having a peel off emulsion.

FIGS. 5A to 5B shows a cure through applicator insert docking with ahandle.

FIG. 6 shows an autoclavable metal cure through applicator insert with acure through aperture in the applicator's holder.

FIG. 7 shows a disposable transparent cure through applicator insert.

FIGS. 8A to 8C show a cure through laminate veneer applicator with anadhesive gripping face and an attached peel off emulsion.

FIGS. 9A to 9C show various views of a cylindrical compressible veneerapplicator.

FIG. 10 shows a compressible applicator with a photo reflective coating.

FIG. 11 shows an applicator with an aperture-less compressibleapplicator.

FIG. 12 shows a cylindrical compressible applicator with light channels.

FIG. 13 shows the compressible dental instrument of claim 9 wherein saidinterlocking insert is comprised of a re usable material having one ormore photo transmissible apertures.

FIG. 14 shows an applicator with a flat flared compressible applicatorholder and a photo transmissible rubberized compressible applicator.

FIG. 15 shows a conventional dental instrument having a flat applicatorholder with photo curing grooves to accept a compressible applicatorwith correlating photo curing grooves.

FIGS. 16A to 16B shows an upward looking view of an applicator applyinga laminate veneer to a tooth.

FIGS. 17A to 17B show an eye level view of a laminate veneer beingapplied to a tooth.

FIG. 18 shows an operative point of view of the applicator, appliedveneer and the compressible applicator's cure through apertures.

FIGS. 19A to 19B show a lateral view of a veneer applied to a tooth withan uncompressed applicator and an applicator applying compressiveforces.

FIG. 20 shows an inferior maxillary view of an applicator compressivelyapplying a veneer.

FIG. 21 shows a photo curing light curing a compressively applied veneerto a tooth.

REFERENCE NUMERALS

-   2. Cure through veneer applicator 38. Metal applicator insert-   4. Gripping handle 40. Transparent plastic applicator-   6. Neck insert-   8. Applicator holder 42. Adhesive face emulsion-   10. Compressible applicator 44. Emulsion peel tab-   12. Photo cure aperture 46. Adhesive gripping face-   14. Photo cure groove 48. Cylindrical compressible-   16. Holder curing aperture applicator-   18. Metal neck 50. Reflective coating-   20. Double neck strut 52. Aperture-less compressible-   22. Concave applicator surface applicator-   24. Transparent neck 54. Photo cure channel-   26. Stick on applicator 56. Transparent compressible-   28. Peel off emulsion termination-   30. Adhesive layer 58. Transparent neck-   32. Applicator docking insert 60. Multi-use instrument applicator-   34. Applicator docking extrusion 62. Prepared anterior tooth-   36. Insert aperture 64. Laminate-   38. Metal applicator insert 66. Compressive applicator forces-   40. Transparent plastic applicator 68. Photo Curing Light insert 70.    Polymerizing light

DETAILED DESCRIPTION—FIGS. 1A, 1B, 1C, 1D, 1E—PREFERRED EMBODIMENT

FIG. 1A shows a frontal three quarter view of the preferred embodiment.FIG. 1B shows a partial posterior three quarter view of the preferredembodiment. FIG. 1C shows an orthographic lateral view of the preferredembodiment. FIG. 1D shows an orthographic partial posterior view of thepreferred embodiment. The cure through veneer applicator 2 is anelongated body or gripping handle 4 with an applicator holder 8. Thehandle 4 is desirably similar dimension to currently availableinstrumentation. The handle's 4 gripping portion extends to a taperedportion or neck 6. The neck 6 has a gentle angle with relation to thehandle 4 that desirably accommodates optimal patient/clinicianergonomics and related oral anatomical considerations. Emerging from theneck's 6 tapered terminal regions is a flattened planar expanse orapplicator holder 8. The holder 8 is made from a desirably transparentmaterial and has a general tooth shaped dimension. It can, howeverassume any desirable form as clinical demands merit. The applicatorholder 8 is planar structure is designed to attachably accept and hold acompressible termination or compressible applicator 10. The applicatorholder 8 can be flat to accept an applicator with an adhesive layer 30or desirably recessed to accept the applicator with no adhesives 10.

The compressible applicator 10 is a similarly tooth shaped dimension andhas a number of traversing holes, perforations or photo cure apertures12. The apertures 12 extend through the applicators 10 body and aredesigned to allow direct transmission of a photo curing light sourcedirectly to a tooth or a porcelain veneer's surface (FIG. 21). Locatedon the sides of the compressible applicator 10, integrally formed intothe periphery are two laterally opposing grooves or photo grooves 14.The grooves 14 are designed to selectively reduce the compressibleapplicators 10 area. Selective reduction desirably maximizes theavailable photo curing footprint to permit maximum light exposure to thesurface of a tooth while maintaining broad surface area compressivecapabilities.

The cure through laminate veneer applicator 2 can be made andconstructed form any number of materials and manufacturing processes.The handle 4 can be made from any desirable metals such as stainlesssteels or titanium. The handle may be milled, cast, or machined intoconfiguration. The handle may also be made from a synthetic that isinjection molded into configuration. Additionally, the applicator 2 cancombine both metal and synthetic portion. The handle may be made frommetal and have an attached synthetic neck and applicator holder that iscomprised of a photon transmissible transparent plastic. Thecompressible applicator 10 may be made form any suitable compressiblematerial such a foam, silicone, or any other material suitablecompressible. The applicator 10 may be injection molded or stamped intoconfiguration.

Alternative Embodiments—FIGS. 2-13

FIGS. 2A through 2C show an applicator 2 with a metal neck 18 and aholder curing aperture 16 located on the posterior face of the holder 8.FIGS. 3A to 3D show an applicator 2 with a double strut neck 20 and acompressible applicator 10 having a concave applicator surface 22. FIGS.4A to 4C show an applicator 2 that accepts an independent stick onapplicator 26. The stick on applicator 26 has an attached peel awayemulsion 28 that exposes and adhesive layer 30 designed to communicatewith the cure through applicator's 2 applicator holder 8. FIG. 5A showsan applicator 2 that has an applicator docking insert 32 with a dockingextrusion 34 that is designed to interface with a insert dockingaperture 36 incorporated into the handle 4. FIG. 5B shows a dockinginsert 32 with an insert aperture 36 and a handle with a dockingextrusion 34. FIG. 6 shows a re-usable metal applicator insert 38 thatis has a holder curing aperture 16. FIG. 7 shows a disposabletransparent plastic applicator insert 40 with an aperture-lesscompressible applicator holder 8. FIGS. 8A to 8C shows an applicator 2with an adhesive gripping face 46 applied to the facial portion. Thegripping face 46 has an adhered adhesive face emulsion 42 with anemulsion peel tab 44.

FIGS. 9A to 9C show an applicator 2 with a cylindrical compressibleapplicator 48. FIG. 10 shows an applicator having a reflective coating50 applied to the compressible applicators 10 facial surfaces. Thecoating 50 is designed to channel reflected light back onto the curingsurfaces. FIG. 11 shows an applicator 2 with an aperture-less applicator52 having no light curing apertures 12. FIG. 12 shows a cylindricalcompressible applicator 48 with photo cure channels 54. FIG. 13 shows ananatomically shaped compressible applicator 10 with photo cure channels54.

FIG. 14 shows an applicator 2 with a flared planar applicator holder 8to accept an adhesively applied transparent compressible applicator 56.FIG. 15 shows an applicator 2 with a flared planar applicator holder 8with photo cure grooves 14 to accept an adhesively applied compressibleapplicator with photo cure grooves 14

Operation

To use the cure through laminate veneer applicator 2, an operator firstobtains a laminate veneer 64 to be applied to the surface of a preparedtooth 62. Next, the operator adheres the veneer 64 to the applicators 2compressible applicator 10 (not shown). Adhering the veneer 58 to theapplicator 10 can be accomplished by independently applying a suitableadhesive substance or by using a pre applied adhesive layer 30 on thecompressible applicators facial surface. Once applied, the operator candesirably prepare the veneer 64 for direct application to the tooth 56surface. Next, gripping the handle 4, the operator guides the adheredveneer 64 to the surface of the prepared tooth 54 (FIGS. 14A, 14B, 51A,15B, 16).

After desirable alignment, the operator proceeds to correlate and placethe veneer 64 on the tooth. Next, applied gentle force compresses theapplicator 10 creating compressive forces 66 against the veneer 64 toexpress uncured bonding substances and create a uniform placement (FIGS.17A, 17B, 18). During compression (and prior to curing), the operatorcan proceed to clean up any expressed excess bonding material (notshown). Next, while under compression, a photo curing light 68 ispositioned to the posterior aspect of the applicator holder 8 and turnedon (FIG. 19). The position of the emitting light source 68 should be inalignment with the cure through apertures 12 and light channels 14.Proper alignment allows the passage of the curing light 70 to directlycontact the veneer 64 surface and achieve final bonding.

Conclusion Ramifications and Scope

Accordingly, the reader will see that the cure through laminate veneerapplicator can be used to ergonomically prepare, place and bond aporcelain laminate veneer to the surface of a tooth. Compressivelyapplying the veneer with a broad surface provides optimal adhesion,correlation, and expression of bonding agents. Cure through aperturefurthermore allow for a pervasive area curing of the veneer to the toothsurface without having to release or diminish the holding compressiveforces. The result is a superiorly bonded veneer with maximum ergonomicease of placement and photo curing. Furthermore, the cure throughcompressible veneer applicator has additional advantages in that:

-   -   The adaptable compressible applicator permits custom tooth        veneer conformation regardless of tooth shape    -   Soft compressible surface is gentle to gingival tissue    -   Cur through apertures can have any configuration    -   Can be made in a number of sizes and configurations

Although the description above contained much specificity, these shouldnot be construed as limiting the scope of the invention but merely asproviding illustrations of some of the presently preferred embodimentsof this invention. Namely, the handle portion of the applicator can haveany dimension and size that permits optimal grasping. The handle caninclude recessed apertures to accept any number of docking inserts andnecessitated by clinical needs. The neck portion of that applicator canhave any size or dimension and may contain a plurality of struts asclinical needs.

The compressible applicator can be of any size or dimension and containany number of apertures, channels or grooves. It may additionally haveany number of specialized attachments, protrusions or extensions. Forexample, thin semi photo transmissible wings may be incorporated ontothe compressible applicator. These wing extensions occlude theinter-proximal areas of a tooth to allow for reduced light exposurewhich results in partial curing. This partial cure facilitatesinter-proximal cleanup. Applicators may be of any shape: They may beoval, asymmetric or even geometric. The compressible applicator may haveany number of specialized coatings or substrates. The compressibleapplicator can also be multilayered or multi cored thus allowingcompressible materials of different densities or porosities to becombined.

Additionally, the cure through compressible applicator may be developedas docking parts. The gripping handle may contain any number of dockingapertures to accept inserts having any number of docking extrusions.Conversely, the handle may have any number of docking extrusions orextensions to accept compressible inserts with any number of dockingapertures or adhesively applied inserts with any number of extensions orapertures. Inserts with docking apertures may further allow them to beattached with a number of pre existing armamentarium. Furthermore,inserts with docking apertures may assume any structural form as tooptimally transmit light from a source while affixed to an pre existinginstrument. Lastly, the inserts and handle may include any number ofmechanisms to facilitate a stable communication. This includes snap inplace mechanisms, screw threading, frictional engaging mechanisms,magnets and exteriorly applied adhesive to any surface necessary.

Thus, the scope of the invention should be determined by the appendedclaims and their legal equivalents, rather than by the examples given.

1. A dental instrument to place and bond a restorative covering to asurface comprising a gripping body having thereon a removably attachedcompressible member with one or more traversing apertures to permit thepassage of a photo curing spectrum.
 2. The dental instrument of claim 1wherein said gripping body is an elongated, handle with at least onedesirably formed terminal expanse to operably communicate with saidcompressible member.
 3. The dental instrument of claim 2 wherein saiddesirably formed terminal expanse is a substantially planar anchoringsurface.
 4. The compressible dental instrument of claim 2 wherein saiddesirably formed terminal expanse is a recessed holder.
 5. The dentalinstrument of claim 1 wherein said compressible member is a desirablysoft adaptable material having a first side with a means to removablycommunicate with said desirably formed terminal expanse, and a secondside having said means to removably communicate with a restorativelayer.
 6. The dental instrument of claim 5 wherein said means toremovably communicate is an adhesive.
 7. The dental instrument of claim1 wherein said compressible member is open cell foam.
 8. The dentalinstrument of claim 1 wherein said compressible member is closed cellfoam.
 9. The dental instrument of claim 1 wherein said compressiblemember is a desirably transparent, photo transmissible elastomermaterial.
 10. The dental instrument of claim 1 wherein said one or moretraversing apertures comprises one or more formed holes, grooves orperipheral contours formed into said compressible member, whereby saidone or more holes, grooves or peripheral contours permits the passage ofa photo curing spectrum of light through said compressible member,whereupon (a) conjoining said compressible member's said first side withsaid gripping member's terminal expanse to form an operative union and(b) conjoining said restorative layer with said compressible member'ssecond side to operably hold the layer and (c) desirably placing saidrestorative layer against said surface and compressing the member toform an adaptive union and (d) emitting said photo curing spectrumthrough said one or more traversing apertures to bond said layer to saidsurface.
 11. A dental instrument to compressively adapt and bond arestorative covering to a surface comprising a gripping body with one ormore holders to variably accept a docking insert having thereon avariably adaptable photo transmissible member.
 12. The compressibledental instrument of claim 11 wherein said gripping body is a desirablyelongated handle.
 13. The compressible dental instrument of claim 11wherein said one or more holders is a desirably sized aperture ofpredetermined shape and depth formed into one or more terminations ofsaid gripping body.
 14. The compressible dental instrument of claim 11wherein said docking insert is a desirably elongated body having a firstend to operably communicate with said one or more holders and a secondend having a desirably formed expanse to hold said variably adaptablephoto transmissible member.
 15. The compressible dental instrument ofclaim 14 wherein said desirably formed expanse is a generally planarsurface.
 16. The compressible dental instrument of claim 14 wherein saiddesirably formed expanse is a desirably recessed holder.
 17. Thecompressible dental instrument of claim 11 wherein said docking insertis comprised of a reusable metal wherein said desirably formed expansehas one or more photo transmissible traversing apertures formed thereon.18. The compressible dental instrument of claim 11 wherein said dockinginsert is comprised of a disposable photo transmissible plasticmaterial.
 19. The compressible dental instrument of claim 11 whereinsaid variably adaptable photo transmissible member is a desirablycompressible, pliant material having a first side to operablycommunicate with said docking insert's said desirably formed expanse anda second side with an adhesive means to hold a dental covering.
 20. Thecompressible dental instrument of claim 11 wherein said variablyadaptable photo transmissible member is a foamed material with one ormore traversing apertures grooves or peripheral contours to permit thepassage of a curing spectrum through said photo transmissible member.21. The compressible dental instrument of claim 11 wherein said phototransmissible body is a desirably transparent solid elastomer materialto permit the transmission of a photo curing spectrum to a surface. 22.A method to bond a restorative covering to a surface comprising: (a)providing a dental instrument comprising a gripping body having thereona variably adaptable photo transmissible body with a holding meansthereon (b) providing a desirably prepared surface (c) providing arestorative covering and conjoining said restorative covering with theadaptable body's holding means (d) providing a desirably photo sensitivebonding agent and applying said bonding agent to predetermined aspectsof said restorative covering (e) desirably placing said restorativecovering against said surface and compressing said variably adaptablephoto transmissible body against the covering to form an adaptive union(f) Providing a photo curing spectrum (g) Emitting said photo curingspectrum through said variably adaptable photo transmissible body tobond said restorative covering to said surface.
 23. The method of claim22 wherein said variably adaptable photo transmissible body is a foamedmaterial with at least one traversing aperture.
 24. The method of claim22 wherein said variably adaptable photo transmissible body is a softtransparent elastomer material.